ATLS Post Test 6 Latest Version – Final Exam
Questions and Answers 300
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 ATLS Post Test 6 Latest Version – Final Exam Questions and Answers 300
,Q1
Which of the following signs is LEAST reliable for diagnosing esophageal intubation?
A) Symmetrical chest wall movement
B) Presence of end-tidal CO2 by colorimetry
C) Bilateral breath sounds
D) Endotracheal tube (ETT) tip above the carina on chest x-ray CORRECT
Rationale
Although a chest x-ray confirms tube position after intubation, it is less reliable in the immediate setting to
rule out esophageal placement. Real-time indicators such as end-tidal CO2 and bilateral breath sounds
are more sensitive.
Q2
Which of the following findings necessitates a definitive airway in a severely injured trauma
patient?
A) Repeated vomiting
B) Severe maxillofacial trauma CORRECT
C) Sternal fracture
D) GCS of 12
Rationale
Severe maxillofacial fractures threaten airway patency; securing a definitive airway is paramount.
Q3
Neurogenic shock has all of the following classic characteristics EXCEPT:
A) Hypotension
B) Vasodilation
C) Bradycardia
D) Narrowed pulse pressure CORRECT
2
,Rationale
In neurogenic shock, hypotension, bradycardia, and vasodilation are common. The pulse pressure is
more often normal or widened, not narrowed.
Q4
Which ONE of the following statements is FALSE regarding Rh isoimmunization in pregnant
trauma patients?
A) It can occur with blunt or penetrating abdominal trauma.
B) It can be caused by minimal fetomaternal hemorrhage.
C) It is prevented by administration of RhoGAM.
D) It only occurs in Rh-negative mothers carrying Rh-positive fetuses. CORRECT
Rationale
Rh isoimmunization can occur in Rh-negative mothers carrying Rh-positive fetuses, but the statement
that it "only" occurs under these conditions is false because it can also occur in other scenarios.
Q5
A 42-year-old man is trapped from the waist down beneath his overturned tractor for several
hours. He is now unconscious and responds only to painful stimuli. No movement of his lower
extremities is detected. The most likely cause for this finding is:
A) An epidural hematoma
B) A pelvic fracture
C) Central cord syndrome
D) Intracerebral hemorrhage
E) Bilateral compartment syndrome CORRECT
Rationale
Prolonged compression of the lower extremities causes rhabdomyolysis and compartment syndrome,
leading to neurovascular compromise.
3
, Q6
A 79-year-old female on Coumadin and a beta blocker is involved in a motor vehicle crash. Which
statement is true concerning her management?
A) The risk of subdural hemorrhage is decreased
B) Absence of tachycardia indicates that the patient is hemodynamically normal
C) Non-operative management of abdominal injuries is more likely to be successful in older adults
D) Vigorous fluid resuscitation may be associated with cardiorespiratory failure CORRECT
Rationale
Older adults are prone to fluid overload; vigorous resuscitation can precipitate cardiac failure.
Q7
A patient is brought to the ED 20 minutes after a motor vehicle crash. BP is 60/40 mmHg, HR 70,
skin is warm. Which statement is true?
A) Vasoactive medications have no role in the patient's management
B) The hypotension should be managed with volume resuscitation alone
C) Flexion and extension views on the c-spine should be performed early
D) Occult abdominal visceral injuries can be excluded as a cause of hypotension
E) Flaccidity of the lower extremities and loss of deep tendon reflexes are
CORRECT
expected
Rationale
Neurogenic shock presents with hypotension, bradycardia, and warm skin. Flaccidity and loss of reflexes
are expected due to spinal shock.
Q8
A 29-year-old female at 30 weeks gestation arrives after a motor vehicle crash. She was
restrained with a lap and shoulder belt. Which statement best describes the risk of injury?
A) Deployment of the airbag increased the risk of fetal loss
B) The risk of premature fetal delivery and death is reduced by the use of CORRECT
restraints
4
Questions and Answers 300
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 ATLS Post Test 6 Latest Version – Final Exam Questions and Answers 300
,Q1
Which of the following signs is LEAST reliable for diagnosing esophageal intubation?
A) Symmetrical chest wall movement
B) Presence of end-tidal CO2 by colorimetry
C) Bilateral breath sounds
D) Endotracheal tube (ETT) tip above the carina on chest x-ray CORRECT
Rationale
Although a chest x-ray confirms tube position after intubation, it is less reliable in the immediate setting to
rule out esophageal placement. Real-time indicators such as end-tidal CO2 and bilateral breath sounds
are more sensitive.
Q2
Which of the following findings necessitates a definitive airway in a severely injured trauma
patient?
A) Repeated vomiting
B) Severe maxillofacial trauma CORRECT
C) Sternal fracture
D) GCS of 12
Rationale
Severe maxillofacial fractures threaten airway patency; securing a definitive airway is paramount.
Q3
Neurogenic shock has all of the following classic characteristics EXCEPT:
A) Hypotension
B) Vasodilation
C) Bradycardia
D) Narrowed pulse pressure CORRECT
2
,Rationale
In neurogenic shock, hypotension, bradycardia, and vasodilation are common. The pulse pressure is
more often normal or widened, not narrowed.
Q4
Which ONE of the following statements is FALSE regarding Rh isoimmunization in pregnant
trauma patients?
A) It can occur with blunt or penetrating abdominal trauma.
B) It can be caused by minimal fetomaternal hemorrhage.
C) It is prevented by administration of RhoGAM.
D) It only occurs in Rh-negative mothers carrying Rh-positive fetuses. CORRECT
Rationale
Rh isoimmunization can occur in Rh-negative mothers carrying Rh-positive fetuses, but the statement
that it "only" occurs under these conditions is false because it can also occur in other scenarios.
Q5
A 42-year-old man is trapped from the waist down beneath his overturned tractor for several
hours. He is now unconscious and responds only to painful stimuli. No movement of his lower
extremities is detected. The most likely cause for this finding is:
A) An epidural hematoma
B) A pelvic fracture
C) Central cord syndrome
D) Intracerebral hemorrhage
E) Bilateral compartment syndrome CORRECT
Rationale
Prolonged compression of the lower extremities causes rhabdomyolysis and compartment syndrome,
leading to neurovascular compromise.
3
, Q6
A 79-year-old female on Coumadin and a beta blocker is involved in a motor vehicle crash. Which
statement is true concerning her management?
A) The risk of subdural hemorrhage is decreased
B) Absence of tachycardia indicates that the patient is hemodynamically normal
C) Non-operative management of abdominal injuries is more likely to be successful in older adults
D) Vigorous fluid resuscitation may be associated with cardiorespiratory failure CORRECT
Rationale
Older adults are prone to fluid overload; vigorous resuscitation can precipitate cardiac failure.
Q7
A patient is brought to the ED 20 minutes after a motor vehicle crash. BP is 60/40 mmHg, HR 70,
skin is warm. Which statement is true?
A) Vasoactive medications have no role in the patient's management
B) The hypotension should be managed with volume resuscitation alone
C) Flexion and extension views on the c-spine should be performed early
D) Occult abdominal visceral injuries can be excluded as a cause of hypotension
E) Flaccidity of the lower extremities and loss of deep tendon reflexes are
CORRECT
expected
Rationale
Neurogenic shock presents with hypotension, bradycardia, and warm skin. Flaccidity and loss of reflexes
are expected due to spinal shock.
Q8
A 29-year-old female at 30 weeks gestation arrives after a motor vehicle crash. She was
restrained with a lap and shoulder belt. Which statement best describes the risk of injury?
A) Deployment of the airbag increased the risk of fetal loss
B) The risk of premature fetal delivery and death is reduced by the use of CORRECT
restraints
4
